Skip to main content
Log in

Norepinephrine contents of human prostatic hyperplasia: Differences between pathological subtypes

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Tissue norepinephrine content in benign prostatic hyperplasia (BPH) was evaluated to detect possible histological differences in BPH subtypes and to investigate the correlation between norepinephrine levels and age, prostatic weight and clinical symptom score, respectively. Specimens were obtained from 28 patients who underwent transurethral resection of the prostate. Pathologically, 18 out of 28 specimens were classified as fibromyoadenomatous hyperplasia and the remaining 10 as fibromuscular type Norepinephrine content in the fibromyoadenomatous type was 133.1±23.1 ng/g, whereas it was 340.3±60.5 ng/g in the fibromuscular type. Norepinephrine level in the former group was significantly lower than that in the latter group (p<0.001). In both groups, there was no correlation between norepinephrine content, age and clinical symptom score, while the norepinephrine content had a reverse correlation with prostatic weight only in the former group (p<0.05).

In conclusion, norepinephrine levels were dependent upon histological differences, especially upon the amount of smooth muscle elements, in the evaluated specimen. Severity of prostatism and patients' age showed no correlation with tissue norepinephrine content.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Caine, M.: The present role of alpha-adrenergic blockers in the treatment of benign prostatic hypertrophy.J. Urol., 136, 1 (1986).

    PubMed  CAS  Google Scholar 

  2. Lepor, H., Gup, D. I., Baumann, M., Shapiro, E.: Laboratory assessment of terazosin and alpha-1 blockade in prostatic hyperplasia.Urology, 27, 21 (1988).

    Google Scholar 

  3. Gup, D. I., Shapiro, E., Baumann, M., Lepor, H.: Contractile properties of human prostate adenoma and the development of infravesical obstruction.Prostate, 15, 105 (1989).

    PubMed  CAS  Google Scholar 

  4. Chapple, C. R., Aubry, M. L., James, S., Greengrass, P. M., Burnstock, G., Turner-Warwick, R. T., Milroy, E. G. J., Davey, M. J.: Characterisation of human prostatic adrenoceptors using pharmacology receptor binding and localisation.Br. J. Urol., 63, 487 (1989).

    Article  PubMed  CAS  Google Scholar 

  5. Hedlund, H., Andersson, K.-E., Ek, A.: Effects of prazosin in the treatment of patients with benign prostatic obstruction.J. Urol. 130, 275 (1983).

    PubMed  CAS  Google Scholar 

  6. Kirby, R. S., Coppinger, S. W. C., Corcoran, M. O., Chapple, C. R., Flannigan, M., Milroy, E. J. G.: Prazosin in the treatment of prostatic obstruction: A placebo-controlled study.Br. J. Urol., 60, 136 (1987).

    PubMed  CAS  Google Scholar 

  7. Lepor, H., Auerbach, S., Puras-Baez, A., Narayan, P., Soloway, M., Lowe, F., Moon, T., Leifer, G., Madsen, P.: A randomized, placebo-controlled multicenter study of the efficacy and safety of terazosin in the treatment of benign prostatic hyperplasia.J. Urol., 148, 1467 (1992).

    PubMed  CAS  Google Scholar 

  8. Hedlund, H., Andersson, K.-E., Larsson, B.: Alpha-adrenoceptors and muscarinic receptors in the isolated human prostate.J. Urol., 134, 1291 (1985).

    PubMed  CAS  Google Scholar 

  9. Lepor, H., Tang, R., Shapiro, E.: The alpha-adrenoceptor subtype mediating the tension of human prostatic smooth muscle.Prostate 22, 301 (1993).

    PubMed  CAS  Google Scholar 

  10. Lepor, H., Tang, R., Meretyk, S., Shapiro, E.: Alpha-I adrenoceptor subtypes in the human prostate.J. Urol., 149, 640 (1993).

    PubMed  CAS  Google Scholar 

  11. Price, D. T., Schwinn, D. A., Lomansney, J. W., Allen, L. F., Caron, M. G., Lefkowitz, R. J.: Identification, quantification, and localization of mRNA for three distinct alpha-1 adrenergic receptor subtypes in human prostate.J. Urol., 150, 546 (1993).

    PubMed  CAS  Google Scholar 

  12. Lepor, H., Shapiro, E., Bowsher, R. R., Henry, D. P.: Determination of norepinephrine levels in the adult human prostate.J. Urol., 144, 1263 (1990).

    PubMed  CAS  Google Scholar 

  13. Vaalasti, A., Hervonen, A.: Autonomic innervation of the human prostate.Invest. Urol., 17, 293 (1980).

    PubMed  CAS  Google Scholar 

  14. Barry, M. J., Fowler, F. J., O'Leary, M. P., Bruskewitz, R. C., Holtgrewe, H. L., Mebust, W. K., Cockett, A. T. K. and the Measurement Committee of the American Urological Association. The American Urological Association symptom index for benign prostatic hyperplasia.J. Urol., 148, 1549 (1992).

    PubMed  CAS  Google Scholar 

  15. Roehrborn, C. G., Chinn, H. K. W., Fulgham, P. F., Simpkins, K. L., Peters, C. P.: The role of transabdominal ultrasound in the preoperative evaluation of patients with benign prostatic hypertrophy.J. Urol., 135, 1190 (1986).

    PubMed  CAS  Google Scholar 

  16. Wagner, J., Vitali, P., Palfreyman, M. G., Zraika, M., Huot, S.: Simultaneous determination of 3,4-dihydroxyphenylalanine, 5-hydroxytryptophan, dopamine, 4-hydroxy-3-methoxyphenylalanine, nor-epinephrine, 3,4-dihydroxyphenyl acetic acid, homovanillic acid, serotonin, and 5-hydroxyindoleacetic acid in rat cerebrospinal fluid and brain by high-performance liquid chromatography with electrochemical detection.J. Neurochem., 38, 1241 (1982).

    Article  PubMed  CAS  Google Scholar 

  17. Nakada, T., Furuta, H., Katayama, T.: Catecholamine metabolism in pheochromocytoma and normal adrenal medulla.J. Urol., 140, 1348 (1988).

    PubMed  CAS  Google Scholar 

  18. Franks, L. M.: Benign prostatic hyperplasia: Gross and microscopic anatomy. In: Grayhack, J.T., Wilson, J. D., Scherbenske, M. J. (eds): Benign Prostate Hyperplasia, p. 63. NIAMDD Workshop Proceedings, DHEW Publication No. (NIH) 76-1113 (1976).

  19. Baumgarten, H. G., Falck, B., Holsten, A.-F., Owman, Ch., Owman, T.: Adrenergic innervation of the human testis, epididymis, ductus deferens and prostate: A fluorescence microscopic and fluorimetric study.Z. Zellforsch., 90, 81 (1968).

    Article  PubMed  CAS  Google Scholar 

  20. Gup, D. I., Shapiro, E., Baumann, M., Lepor, H., Autonomic receptor in human prostate adenomas.J. Urol., 143, 179 (1990).

    PubMed  CAS  Google Scholar 

  21. Shapiro, E., Hartanto, V., Lepor, H.: The response to alpha blockade in benign prostatic hyperplasia is related to the percent area density of prostate smooth muscle.Prostate, 21, 297 (1992).

    PubMed  CAS  Google Scholar 

  22. Siegel, Y. I., Zaidel, L., Hammel, I., Korczak, D., Linder, A.: Morphometric evaluation of benign prostate hyperplasia.Eur. Urol., 18, 71 (1990).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ishigooka, M., Hayami, S., Tomaru, M. et al. Norepinephrine contents of human prostatic hyperplasia: Differences between pathological subtypes. International Urology and Nephrology 28, 61–66 (1996). https://doi.org/10.1007/BF02550139

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02550139

Keywords

Navigation